Individual
DR. RICAURTE ANTONIO SOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2613
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
003089
GA
207P00000X
Emergency Medicine Physician
Primary
63816
GA
207P00000X
Emergency Medicine Physician
DO1204
AL
Other
Enumeration date
06/25/2008
Last updated
05/16/2015
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